Sand HealthOS (Health Operating System)

Built on Sand Symmetri and deployed across 10+ African countries serving millions of patients, HealthOS is an AWS-native platform that takes Ministries of Health through a structured Sense → Analyse → Act journey, regardless of where their health system currently stands. From fragmented, paper-based systems, HealthOS creates foundational visibility. For countries already running disconnected digital tools, it unifies them into an operational intelligence later. The platform integrates with existing data systems including DHIS2, EMRs, supply chain and logistics platforms, and population and geospatial data, and is designed to be deployable in a new country in under eight weeks. Critically, HealthOS is built with Ministry ownership as the end goal, investing in local capacity so that when Sand steps back, the system keeps running.

HealthOS supports five major Ministry priority areas:

1. Digital Transformation: EMR adoption and health workforce capability building
2. Supplies & Commodities: stock visibility, stockout prevention, and supply chain resilience
3. Health Financing: investment planning and financing innovation
4. Pandemic Preparedness: outbreak detection, disease surveillance, early warning, and emergency response coordination
5. Health Outcome Visibility: maternal and child health tracking, malaria, and non-communicable disease monitoring

Real-world results demonstrate the platform's impact: targeted ultrasound deployment guided by HOS insights drove a 19% increase in women completing four or more antenatal care visits, while proactive coverage management in Rwanda reduced a seasonal 60% drop in clinic visits to just 17% over three years, with 73% more citizens maintaining continuous health insurance coverage.